Basic Information
| Provider Information | |||||||||
| NPI: | 1588673545 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VIEW POINT ASSOCIATES | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 16820 | ||||||||
| Address2: | |||||||||
| City: | BOISE | ||||||||
| State: | ID | ||||||||
| PostalCode: | 837156820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2088844688 | ||||||||
| FaxNumber: | 2083239070 | ||||||||
| Practice Location | |||||||||
| Address1: | 1711 MILLENIUM WAY | ||||||||
| Address2: | |||||||||
| City: | MERIDIAN | ||||||||
| State: | ID | ||||||||
| PostalCode: | 836421511 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2088844688 | ||||||||
| FaxNumber: | 2083239070 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/07/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | HAVILAND | ||||||||
| AuthorizedOfficialFirstName: | VIRGINIA | ||||||||
| AuthorizedOfficialMiddleName: | PAGE | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYCHOLOGIST | ||||||||
| AuthorizedOfficialTelephone: | 2088844688 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PH.D | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.